<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <input type="hidden" name="row[id]" value="{$Request.param.ids}">
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_id" data-rule="required" data-source="user/user/index" data-field="nickname" class="form-control selectpage form-control" name="row[user_id]" type="text" value="{$row.user_id}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Velocity')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-velocity" data-rule="required" class="form-control  form-control" rows="5" name="row[velocity]" cols="50">{$row.velocity}</textarea>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ping')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ping" data-rule="required" class="form-control form-control" name="row[ping]" type="text" value="{$row.ping}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Traceroute')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-traceroute" data-rule="required" class="form-control form-control" name="row[traceroute]" type="text" value="{$row.traceroute}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Dig')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-dig" data-rule="required" class="form-control form-control" name="row[dig]" type="text" value="{$row.dig}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Webpage')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-webpage" data-rule="required" class="form-control form-control" name="row[webpage]" type="text" value="{$row.webpage}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Diagnosis')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-diagnosis" data-rule="required" class="form-control  form-control" rows="5" name="row[diagnosis]" cols="50">{$row.diagnosis}</textarea>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Other')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-other" data-rule="required" class="form-control  form-control" rows="12" name="row[other]" cols="50">{$row.other}</textarea>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
